摘要
腹腔脏器动脉瘤急性破裂引起上消化道出血极为罕见。该院30多年来收治23例,12例为肝动脉瘤,9例胃十二指肠和胰十二指肠动脉瘤,肠系膜上动脉及其分支动脉瘤各1例。其中动脉瘤破裂入胆道内致出血13例,而破裂入胃、上段空肠致出血者10例.术前确诊困难,唯选择性腹腔动脉和(或)肠系膜上动脉造影最有价值.本组15例术前由选择性动脉造影确诊.16例经手术治疗,术后6例死亡。经动脉栓塞治疗3例.预后取决于动脉瘤的解剖关系和原发病.
出处
《中国实用外科杂志》
CSCD
1994年第7期400-402,共3页
Chinese Journal of Practical Surgery
关键词
动脉瘤
上消化道出血
动脉栓塞
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